Customer Service Rep - Claims - Axelon Services Corporation : Job Details

Job Description: **Candidate must be local to Oriskany, NY - Hybrid role in-office ****Max pay rate 20/hr**Training will be in-office: after training only required to come into the office once a month, or on an as needed basis (if electricity or internet goes out).Training will be about 4 weeks.Position Requirements:1-2 Years of customer service experience/phone experience, or equivalent. Will accept customer facing experience as well (fast food, etc.)- Requires a high school diploma or equivalent- Basic computer literacy - Microsoft office experience- Attention to detailJob Description:

• Handle intake calls for FMLA claims and leaves or paid family leave.
• Determine eligibility for FMLA and other leaves during intake call.
• Promptly review new FMLA and Company Leave (Bereavement, Jury Duty, Etc.) notices and act upon them within documented timeline standards.
• Complete eligibility decisions during intake.
• Gather pertinent data when necessary from employee or other supporting systems.
• Identify and evaluate leave specifics and make initial case decisions - approve or deny.
• Perform leave follow-ups as required with employee, employer or healthcare provider. This may include recertification of a serious health condition, intermittent claim tracking, confirmation of actual return-to-work, etc.
• Perform standard communication (phone calls, emails, and letters) to appropriate parties throughout the duration of the leave.
• Consistently updates FML and Leave applications to accurately reflect leave status and ensure that appropriate diary documentation exists.
• Respond to employee and employer inquiries regarding the status or availability of FML and Company leave.